Sarah is a 23 year old woman. She comes to your office complaining of an increase in vaginal discharge.
You ask her if she is sexually active and she says yes.
You ask her whether she uses condoms or not and her answer is no.
You ask her whether she uses any form of birth control and she says no.
You then proceed to tell her that she should be using condoms every time she has sex to decrease her chances of contracting a sexually transmitted infection, and that by not using condoms she is putting herself at risk for HIV, other STIs and pregnancy.
You then tell her you are going to do a pelvic exam and ask her when she last had a PAP smear.
She tells you that she hasn’t had one in a number of years, then tells you that she can’t have one now as she is menstruating. Sarah then leaves your office and does not return.
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